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Adjunctive Non-Surgical Therapy of Inflamed Periodontal Pockets During Maintenance Therapy Using Diode Laser: A
Naomi-Trang Nguyen1, Matthew R Byarlay2, Richard A Reinhardt2
1Division of Periodontology, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California.
Journal of Periodontology
|September 30, 2015
Summary
Diode laser therapy adjunctive to scaling and root planing (SRP) did not improve clinical outcomes or reduce interleukin-1β (IL-1β) in periodontal maintenance patients with inflamed sites. Further research is needed to explore laser therapy
Area of Science:
- Periodontology
- Dental Laser Therapy
- Periodontal Maintenance
Background:
- Limited data exists on laser therapy for inflamed periodontal pockets during maintenance.
- This study investigates diode laser adjunctive to SRP in periodontal maintenance.
Purpose of the Study:
- To compare SRP plus diode laser therapy (SRP + L) versus SRP alone.
- To assess changes in clinical parameters and gingival crevicular fluid (GCF) IL-1β.
Main Methods:
- 22 patients in periodontal maintenance with PD ≥ 5 mm and BOP were included.
- 56 sites received SRP + L, 58 sites received SRP alone.
- Clinical parameters (PD, CAL, BOP) and GCF IL-1β were measured at baseline and 3 months.
Main Results:
- Both SRP + L and SRP alone significantly reduced PD and BOP, and increased CAL.
- No significant differences in clinical outcomes were observed between the two groups.
- GCF IL-1β levels also showed no significant difference between SRP + L and SRP alone.
Conclusions:
- Adjunctive diode laser therapy offers no clinical benefit over SRP alone for inflamed periodontal sites during maintenance.
- SRP remains the standard of care for managing inflamed sites in periodontal maintenance.
